Obstetrics|Gynecology - Articles

When Medicare updated their systems with the updates to mammography and breast biopsy policies some ICD-10-CM codes were inadvertently left out. The omitted new codes are N63.11-N63.14, N63.21-N63.24, N63.31, N63.32, N63.41, and N63.42, which will replace the truncated ICD-10 diagnosis N63. The Centers for Medicare & Medicaid Services (CMS) will...

It is important to make a clear distinction between pre-existing conditions and conditions brought on by the pregnancy (gestational) or pregnancy related conditions.
Condition Detail: Was the condition pre-existing (i.e., present before pregnancy)?
Trimester: When did the pregnancy-related condition develop?
Casual Relationship: Establish the relationship between the pregnancy and the complication (e.g., preeclampsia)
Code examples:
O99.011 Anemia ...

If you are coding for endocervical curettage only, use 57505 "Endocervical curettage (not done as part of a dilation and curettage)."
If an endometrial sampling (biopsy) was performed in conjunction with a colposcopy, use 57420 "Colposcopy of the entire vagina, with cervix if present," 57421 for "with biopsy(s) of vagina/cervix, or 57452-57461 for "colposcopy of the cervix including upper ...

If a procedure such as an excision of a polyp took significant additional time, work, and effort, you could append modifier 22 (unusual procedural service) to add to your fee when using 58100 "Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)."
If a coloposcopy is performed in conjunction, use 58110 in addition to the ...

If a mother uses alcohol or tobacco during pregnancy, be sure to assign O99.31 "Alcohol use complicating pregnancy, childbirth, and the puerperium."
Document the time of the encounter (such as the trimester), during childbirth, or during the puerperium.
NOTE: You also need to assign a secondary code from category F10- to identify manifestation of the alcohol use.
The following ...

Diabetes mellitus is a significant complicating factor in pregnancy. Pregnant women who are diabetic should first be assigned a code from category O24 (diabetes mellitus in pregnancy, childbirth, and the puerperium) followed by the appropriate diabetes code(s) (E08-E13) from Chapter 4.
Diabetes mellitus due to underlying condition:
with proliferative diabetic retinopathy without macular edemaE08.3591 right eye
E08.3592 left eye
E08.3593 bilateral
E08.3599 unspecified eye
E08.36 with diabetic cataract
with diabetic macular edemaE08.37X1 right eye
E08.37X2 left eye
E08.37X3 bilateral
E08.37X9 unspecified eye
E08.39 with other diabetic opthalmic complication
with ...

It is important to make a clear distinction between pre-existing conditions and conditions brought on by the pregnancy (gestational) or pregnancy related conditions.
Condition Detail: Was the condition pre-existing (i.e., present before pregnancy)?
Trimester: When did the pregnancy-related condition develop?
Casual Relationship: Establish the relationship between the pregnancy and the complication (e.g., preeclampsia).
Code examples:
O99.011 Anemia ...